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Revista de la Facultad de Medicina Humana

English Title

Asociación entre el control prenatal y las complicaciones obstétricas maternas periparto y postparto. ENDES 2017 al 2019

Keywords

Prenatal care, complications of pregnancy, complications of labor, female urogenital diseases, postpartum disorders, maternal health

English Keywords

Atención prenatal, complicaciones del embarazo, complicaciones del trabajo de parto, enfermedades urogenitales femeninas, trastornos puerperales, salud materna

Abstract

Introduction: Obstetric complications are an important cause of maternal morbidity and mortality, with prenatal control (PNC) being a strategy for their adequate prevention and treatment. Objective: To determine the association between adequate CPN and peripartum and postpartum maternal obstetric complications. Methodology: Quantitative, observational, retrospective, cross-sectional and analytical study, based on information from the ENDES 2017-2019. Results: A sample of 41,803 mothers was analyzed, 21,0% and 28,7% had peripartum and postpartum complications respectively, furthermore, it was found that not having a quality NPC (PR = 1.20; 95% CI = 1.14-1.27), residing in metropolitan Lima (PR = 1,38; 95% CI = 1,27-1,49) or in the mountains (PR = 1,25; 95% CI = 1,18-1,33), belong to wealth quintile two (PR = 1,13; 95% CI = 1,04-1,22) or three (PR = 1,11; 95% CI = 1,03-1,20), having been attended only by qualified personnel (PR = 1,81; 95% CI = 1,33-2,48) and only in the public sector (PR = 1,48; 95% CI = 1,31-1,68) were associated with a greater possibility of peripartum complications. Not having a quality NPC (PR = 1,28; 95% CI = 1,22-1,33), residing in metropolitan Lima (PR = 1,12; 95% CI = 1,05-1,20) or in the mountains (PR = 1,06; 95% CI = 1,01-1,12), belong to wealth quintile two (PR = 1,13; 95% CI = 1,05-1,20) or three (PR = 1,12; 95% CI = 1,05-1,19) and having received NPC only in the public sector (PR = 1,28; 95% CI = 1,17-1,41) were associated with a greater possibility of postpartum complications. Conclusions: Within the adequate NPC, an association was found between the quality NPC and the peripartum and postpartum maternal obstetric complications.

English Abstract

Introducción: Las complicaciones obstétricas son causa importante de morbimortalidad materna, siendo el control prenatal (CPN) una estrategia para su adecuada prevención y tratamiento. Ojetivos: Determinar la asociación entre el CPN adecuado y las complicaciones obstétricas maternas periparto y postparto. Métodos: Estudio cuantitativo, observacional, transversal y analítico, basado en información de la ENDES 2017-2019. Resultados: Se analizó una muestra de 41 803 madres, el 21,0% y el 28,7% tuvieron complicaciones periparto y postparto respectivamente, además, se encontró que el no tener un CPN de calidad (RP=1,20; IC95%=1,14-1,27), residir en Lima metropolitana (RP=1,38; IC95%=1,27-1,49) o en la Sierra (RP=1,25; IC95%=1,18-1,33), pertenecer al quintil de riqueza dos (RP=1,13; IC95%=1,04-1,22) o tres (RP=1,11; IC95%=1,03-1,20), haber sido controlada solo por personal calificado (RP=1,81; IC95%=1,33-2,48) y solo en el sector público (RP=1,48; IC95%=1,31-1,68) se asociaron con mayor posibilidad de complicaciones periparto. Además, el no tener un CPN de calidad (RP=1,28; IC95%=1,22-1,33), residir en Lima metropolitana (RP=1,12; IC95%=1,05-1,20) o en la Sierra (RP=1,06; IC95%=1,01-1,12), pertenecer al quintil de riqueza dos (RP=1,13; IC95%=1,05-1,20) o tres (RP=1,12; IC95%=1,05-1,19) y haber sido controlada solo en el sector público (RP=1,28; IC95%=1,17–1,41) se asociaron con mayor posibilidad de complicaciones postparto. Conclusión: Dentro del CPN adecuado, se encontró asociación entre el CPN de calidad y las complicaciones obstétricas maternas periparto y postparto.

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